Staff Covid Form Please enable JavaScript in your browser to complete this form.NameFirstLastImage Upload Click or drag files to this area to upload. You can upload up to 3 files. Upload an image of your covid vaccination card.1st Vaccination2nd VaccinationBoosterAgreement *I understand that by public health order, being fully vaccinated means I will need to receive my booster shots.I understand that if I elect to not get fully vaccinated that I agree to get tested weekly, in compliance with the the public health order for employees of schools in New Mexico.Additional InfoPlease add any additional information if applicable.Signature *Clear SignatureDate *Submit
